Information Collection

Insurance website CSS core survey

IC 229911 under ICR 201801-3206-005 · OMB 3206-0236.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0236 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CSS7 Insurance website CSS core survey	Form
CSS7 Insurance Website CSS PART Survey - Insurance Core Survey_2018.doc	Form
SSB for insurance survey.doc Supporting Statement B	IC Document

IC Title:

Insurance website CSS core survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CSS7	Insurance Website CSS	PART Survey - Insurance Core Survey_2018.doc		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement B	SSB for insurance survey.doc	01/30/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.